Krystian W Bigosinski in South Portland - Sports Medicine

Krystian W Bigosinski - NPI 1245450832

Krystian W Bigosinski is a Sports Medicine in South Portland, Maine. Krystian W Bigosinski practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Krystian W Bigosinski is 1245450832. The last update date is 2014-12-29.

Krystian W Bigosinski's current location address is 100 Brickhill Avenue, South Portland, Maine. You can contact this provider via phone number 2077730040 and fax number 2078244900. The mailing address for Krystian W Bigosinski is 100 Brickhill Avenue, South Portland, Maine. To know further, please read the information below!

Provider Profile Detail

Provider Name Krystian W Bigosinski
Address 100 Brickhill Avenue, South Portland, Maine
Phone Number 2077730040
Fax Number 2078244900
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1245450832
Provider Enumeration Date 2007-04-26
Last Updated Date 2014-12-29

Provider Mailing Address Detail

Address 100 Brickhill Avenue
City South Portland
State Maine (ME)
Post Code 4106
Phone Number 2077730040
Fax Number 2078244900

Provider's Primary Taxonomy Detail

Speciality Sports Medicine
Taxonomy 207Qs0010X
Licence No 36121017
Definition:
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
36121017 IL IL STATE MEDICAL LICENSE
ML20008426 WA STATE MEDICAL LISCENCE

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FAQs about Krystian W Bigosinski

What is the unique identifier code issued to Krystian W Bigosinski by the Centers for Medicare & Medicaid Services (CMS)?

The Krystian W Bigosinski has been assigned the NPI (National Provider Identifier) 1245450832. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Krystian W Bigosinski is physically located?

The Krystian W Bigosinski is situated at the following address: 100 Brickhill Avenue, South Portland, ME 4106.

What is the area of specialization for Krystian W Bigosinski, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Krystian W Bigosinski is Sports Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Qs0010X.

On what date was the 1245450832 assigned to Krystian W Bigosinski?

The Krystian W Bigosinski was issued its 1245450832 on 2007-04-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Krystian W Bigosinski most recently updated or revised?

The information pertaining to Krystian W Bigosinski, including its address, specialty, and other relevant details, was last updated or revised on 2014-12-29.

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